BEGINNING NURSE’S ROLE ON CLIENT CARE
RESPONSIBILITY 1 – PRACTICES IN ACCORDANCE WITH LEGAL PRINCIPLES AND THE CODE OF ETHICS IN MAKING PERSONAL AND PROFESSIONAL JUDGMENT.
COMPETENCY
1.1. Adheres to ethico-legal
considerations when providing
safe, quality and professional
nursing care.
1.2. Applies ethical reasoning and
decision making process to
address situations of ethical
distress and moral dilemma.
1.3. Adheres to established norms of
conduct based on the Philippine
Nursing Law and other legal,
regulatory and institutional
requirements relevant to safe
nursing practice.
1.4. Protects clients rights based on
“Patient’s Bill of Rights and
Obligations”.
1.5. Implements strategies/policies
related to Informed consent as it
applies in multiple contexts.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Specifies the ethico-legal bases for providing safe, quality and professional nursing care.  Ethico-moral
2. Makes professional decisions within ethical and legal parameters. Responsibility
3. Uses institutional, community and scholarly resources to address ethical and legal concerns in nursing  Legal Responsibility
practice.  Communication
4. Applies legal and ethical principles to advocate for human and societal well being and preferences.
5. Clarifies unclear or questionable orders, decisions or actions made by other inter-professional health care
team members.
1. Executes the ethical reasoning process used in arriving at decisions to address situations of ethical distress
and moral dilemma.
2. Decides on cases based on ethical reasoning.
1. Articulates clearly the scope and standards of nursing practice.
2. Shows evidence of legal requirements in the practice of nursing, (i.e. current professional license)
3. Acts in accordance with the terms of contract of employment and other rules and regulations.
4. Articulates the vision, mission and values of the institution where one belongs.
1. Advocates for client’s rights.
2. Evaluates client’s understanding of health care rights.
3. Implements strategies/interventions to protect client’s rights guided by the “Patient’s Bill of Rights and
Obligations”.
4. Ensures that the client acknowledges that he/she is accountable for his/her obligations.
1. Demonstrates an understanding of informed consent as it applies in multiple contexts.
2. Validates with client if informed consent is clear, complete, taken wholly voluntarily, and signed by legally
competent representative.
3. Obtains the client’s signature on the informed consent taking into consideration ethico-legal principles.
4. Acts as a witness to the signing of the informed consent.
5. Questions the informed consent process when the requirements are not met.
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RESPONSIBILITY 2 – UTILIZES THE NURSING PROCESS IN THE INTERDISCIPLINARY CARE OF CLIENTS THAT EMPOWERS THE CLIENTS AND
PROMOTES SAFE QUALITY CARE.
COMPETENCY
2.1. Ensures a working relationship with the client
and/or support system based on trust respect
and shared decision making.
2.1.1. Establishes rapport with client and/or
support system ensuring adequate
information about each other as partners
in a working relationship.
2.1.2. Formulates with the client-partner the
objectives and expectations of the nurse-
client working relationship.
2.1.3. Maintains shared decision making and
client’s participatory capability throughout
the nurse-client working relationship.
2.1.4. Enhances client-partner’s readiness for
taking over/being in-charge when
objectives and expectations of the
working relationship have been achieved.
2.2. Assesses with the client (individual, family,
population group, and /or community) ones
health status/competence.
2.2.1. Develops the data gathering plan with the
client. specifying methods and tools
2.2.2. Obtains assessment data utilizing
appropriate data gathering methods and
tools guided by type of client and work
setting requisites.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
 Safe Quality Care
 Ethico-moral
Responsibility
1. Shares pertinent information about oneself as nurse-partner.  Legal
2. Addresses with respect and trust client-partner’s concerns/needs related to sharing information about Responsibility
oneself to enhance the nurse-client working relationship.  Health Education
1. Explains nature and purpose of client-partner working relationship.  Communication
2. Prepares with the client a list of objectives and expectations.  Collaboration and
Teamwork
1. Assesses client’s participatory capability.  Record
2. Determines strategies to ensure shared decision making and client participation throughout the working Management
relationship.  Management of
3. Carries out appropriate strategies to ensure continued participation of the client. resources and
1. Assesses client-partner’s readiness for taking charge of the condition or situation. environment
2. Uses strategies to prepare the client for being in-charge/taking over when objectives/expectations have
been achieved or when the situation necessitates termination of the nurse-client relationship.
3. Supports client as he takes charge of maintaining health or managing the condition/situation (e.g. taking
over self-care or implementation of prevention and control measures).
1. Uses strategies to develop/ enhance the skills of the client to participate in developing/specifying the
methods and tools for data gathering
1. Conducts a comprehensive and systematic nursing assessment of clients within an interdisciplinary
framework
2. Generates with the client the assessment data using appropriate data gathering methods and tools guided
by work-setting requisites.
2.1 Individual as client – obtains assessment data through nursing history taking, physical/developmental/
psychosocial assessment and other assessment protocols, laboratory and diagnostic procedures
2.2 Family/ population group/ community as a client – obtains assessment data through family health
history, assessment of the home and environment, records review and other assessment proto-cols
such as laboratory and diagnostic procedures/reports, epidemiologic and social investigations and
assessment of client competence, risk factor assessment, screening of vulnerable risk groups, and
assessment of issues of vulnerability (health risks, limited control, powerlessness, disenfranchisement,
victimization, disadvantaged status)
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 COMPETENCY
2.2.3. Analyzes data gathered.
2.2.4. Synthesizes data gathered.
2.2.5. Specifies client’s status/conditions/
problems to be addressed identifying
reasons (etiology) for the existence of
the condition or problem.
2.3. Formulates with the client a plan of care to
address the health conditions, needs,
problems and issues based on priorities.
2.4. Implements safe and quality interventions
with the client to address the health needs,
problems and issues.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Groups assessment data by condition or category using appropriate assessment framework by type of  Safe Quality Care
client.  Ethico-moral
2. Relates data with each other to determine patterns, recurring themes, or processes. Responsibility
3. Compares data, patterns, recurring themes with norms/standards, clinical/health indicators or research  Legal Responsibility
findings using algorithms and standard protocols.  Health Education
1. Interprets data gathered.  Communication
2. Draws inferences from data gathered by specifying the nature, magnitude/extent and sources of/  Collaboration and
reasons for the alterations (e.g., pathophysiology, psychopathology), gaps, deficiencies and/or barriers Teamwork
to opportunities for change/improvement, health promotion/wellness, disease prevention,  Record Management
problem/disease management, rehabilitation.
 Management of
1. Identifies the factors associated with the condition/s or reasons for the existence of the problem. resources and
2. States nursing diagnosis/nursing problem. environment
3. Seeks concurrence with the client regarding problems identified.
1. Sets priorities among a list of conditions or problems.
2. Specifies goals, objectives and expected outcomes of care maximizing client’s competencies.
3. Selects appropriate interventions/strategies enhancing opportunities for health promotion, wellness
response, prevention of problems/complications, and eliminating gaps/deficiencies.
4. Uses methods and tools to maximize client/family participation in planning appropriate
interventions/strategies.
5. Develops with the client an evaluation plan specifying criteria/indicators, methods and tools.
6. Collaborates with the client and the inter-professional health care team in developing the plan of care.
7. Modifies plan of care according to one’s judgment, skill, or knowledge as client’s needs change.
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 COMPETENCY
2.4.1. Implements appropriate
psychosocial/therapeutic
interventions to render holistic
nursing care in any setting.
2.4.2. Provides appropriate evidence-
based nursing care using a
participatory approach based on:
a. variety of theories and
standards relevant to health
and healing.
b. research
c. clinical practice
d. client preferences
e. client and staff safety
f. customer care standards
2.4.3. Applies safety principles,
evidence based practice,
infection control measures and
appropriate protective devices
consistently, when providing
nursing care and preventing
injury to clients, self, other health
care workers and the public.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Addresses with respect, trust, and concern for safety, client’s needs, issues, or problems related with  Safe Quality Care
psychosocial adaptation using appropriate communication/interpersonal techniques/strategies.  Ethico-moral
2. Utilizes therapeutic interventions appropriate to psychosocial phenomena/maladaptive behavior Responsibility
patterns/problems identified  Legal Responsibility
2.1 Utilizes therapeutic use of self e.g. Uses self-awareness techniques/strategies; determines appropriate  Health Education
strategies to achieve the goals of the nurse-patient relationship; seeks consensual validation with client  Communication
2.2 Implements psychosocial/therapeutic interventions (e.g. Nurse-client relationship therapy, Relaxation  Collaboration and
exercises/ therapy, Behavioral/ Cognitive Therapy , Coping Assistance, , Mental health Teamwork
counseling/education, Social support intervention, Environmental structuring/Milieu therapy, Psycho-  Record
spiritual care, and Crisis intervention/ Psychological stress de-briefing). Management
2.3 Carries out biophysical interventions (e.g. Nutritional intervention, Detoxification, and  Management of
Pharmacotherapeutics. resources and
3. Collaborates with client support system and the multidisciplinary team in developing, implementing and
environment
evaluating the plan of care.
1. Develops the competence of the client to participate in using appropriate evidence-based nursing care.
2. Refers to appropriate authority client’s situations not within his/her capabilities.
3. Decides on appropriate interventions to address client’s specific concerns, issues, and problems based on the
situation.
4. Performs autonomously a wide range of nursing interventions (actions, treatments and techniques) in
accordance with nursing standards which include promote health, prevent disease or injury, maintain and
restore health, promote rehabilitation, and provide palliation
1. Performs evidence-based nursing procedures safely and effectively.
2. Uses appropriate technology to perform safe and efficient nursing interventions.
3. Applies consistently principles of infection control in practice.
4. Uses appropriate personal protective equipment.
5. Ensures that members of the health care team and visitors perform infection control measures accordingly.
6. Requests change in assignment when his/her competence level does not meet the client’s care needs.
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 COMPETENCY
2.4.4. Implements strategies related to the
safe preparation and
administration of medications
based on institutional policies
and protocol.
2.4.5. Applies evidence-based practices
on pain prevention and
management of clients using
pharmacologic and non-
pharmacologic measures.
2.4.6. Implements safe, adequate,
evidence- based care of clients
during the pre-, intra-, and post-
diagnostic and treatment
procedures.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Prepares medications according to standard procedures.  Safe Quality Care
2. Checks on the medications to be administered three times.  Ethico-moral
3. Avoids interruptions during the preparation and administration of medication. Responsibility
4. Performs the 2-patient identifier checks before administering the medication.  Legal Responsibility
5. Reviews appropriate laboratory results, assessment findings and other pertinent information prior to  Health Education
administration of medication.  Communication
6. Withholds the medication when appropriate.  Collaboration and
7. Informs the physician of side effects and adverse reactions to the medication. Teamwork
8. Completes the adverse drug reaction (ADR) documentation appropriately.  Record
9. Collects data/statistics to manage and reduce risks related to medication administration. Management
10. Modifies techniques of medication administration in a variety of setting based on standards.
 Management of
1. Selects appropriate assessment and intervention tools and techniques based on literature review, consultation
with colleagues and other resources. resources and
2. Carries out evidence-based practices with the client on pain prevention and management using pharmacologic environment
and non-pharmacologic measures.
3. Uses a framework to structure the use of analgesia in the pharmacologic management of pain (e.g. WHO Pain
Ladder which includes assesses symptoms comprehensively, identifies common, expected and unexpected
symptoms, relieves symptoms through a variety of strategies, evaluates interventions for effectiveness of symptom
relief, and revises the symptom management plan as needed).
1. Explains to the client the diagnostic and treatment procedure.
2. Prepares adequately the client prior to the procedure (e.g. NPO, enema, informed consent).
3. Chooses evidence-based interventions pre-, intra- , and post diagnostic and treatment procedures.
4. Performs evidence-based interventions pre-, intra- , and post diagnostic and treatment procedures.’
5. Monitors for adverse reactions and complications post-procedure.
6. Reports adverse reactions and complications post-procedure.
7. Reviews diagnostic and treatment procedure results using a specific effective communication model (e.g. the
SBAR format - Situation, Background, Assessment, Recommendation).
8. Relays diagnostic procedure results to the physician.
9. Recommends further diagnostic procedures and/or treatment options for adverse reactions and complications
in coordination with a senior member of the nursing team.
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 COMPETENCY
2.4.7. Implements safe and quality nursing
interventions addressing health needs,
problems and issues affecting pregnant
woman during the peripartal phases and
newborn from perinatal to neonatal stage
2.4.8. Applies appropriate and evidence-based
nursing interventions for physiologic and
related psychosocial needs of
patients/clients to preserve physiologic
integrity and prevent complications of
problems of oxygenation (ventilation,
transport, perfusion); fluid and electrolyte
imbalance and acid-based imbalances;
nutrition and metabolism; gastrointestinal
(indigestion, digestion, absorption,
elimination); urinary function; perception,
coordination, and altered sensation;
inflammation, infection, and immune
responses; cellular aberration, altered
genetic conditions; and reproductive
problems.
2.4.9. Implements participatory and empower-
ment strategies related to promotion of
health, healthy lifestyle/adaptation,
wellness, disease management, environ-
mental sanitation, environment protection
and health resource generation, use or
access within the context of Primary
Health Care
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Provides appropriate physiologic interventions to address needs of women during the peripartal phases of  Safe Quality Care
pregnancy and of the newborn from perinatal to neonatal stages. care e.g IMCI  Ethico-moral
2. . Performs autonomously a wide range of nursing interventions (actions, treatments and techniques) that: Responsibility
2.1 promote health covering the following areas of health concerns e.g. women’s health, safe and quality  Legal Responsibility
Care for Birthing Mothers prepartal/intra-partal/immediate post partum and puerperium care  Health Education
2.2 prevent disease/injury/ complications during the peripartal phases.  Communication
2.3 Performs evidence-based nursing procedures safely and effectively in the care of mothers along the  Collaboration and
following areas of health concerns: Teamwork
2.3.1 Essential Intrapartal Care practices following the WHO Essential Intrapartal Care guidelines.  Record
2.3.2 Essential Neonatal Care practices following WHO guidelines. Management
1. Generated adequate assessment data according to level of prescribed/needed care.
 Management of
2. Uses appropriate assessment techniques with least discomfort to patients.
3. Recognizes and prioritizes emerging problems in a timely manner. resources and
4. Provides substantial pathophysiologic reasoning for problems and changing patient situations. environment
5. Integrates plans for immediate and subsequent patient care.
6. Provides for patient’s hygiene and comfort continuously.
7. Where peri-operative care is needed, incorporates appropriate safety indicators,&interventions to reduce anxiety.
8. Demonstrates skill in performing appropriate basic and advance nursing interventions and rehabilitation care.
9. Follows correct procedures and collaborates appropriately in the administration of medications related IV fluids,
blood, and blood products.
10. Demonstrates caring and compassionate care, especially to vulnerable patients.
11. Has the ability to anticipate changing patient situations.
12. Communicates with the health team constantly, as well as with the family and his/her family.
13. Uses complimentary, alternative, and biobehavioral therapies appropriately.
14. Maintains holistic perspective and spiritual care.
15. When end-of-life care is needed, ensures appropriate presence of significant others.
16. Exercises good intentions and safe care practices when performing nursing interventions.
1. Determines appropriate participatory and empowerment strategies related to promotion of health, healthy
lifestyle/adaptation, wellness, disease management, environmental sanitation and protection and health
resource generation, use or access.
2. Creates opportunities to develop client’s competence for promotion of health, healthy lifestyle/adaptation,
wellness, disease management, environmental sanitation, environment protection, and health resource
generation, use or access
3. Executes appropriate participatory and empowerment strategies.
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 COMPETENCY
2.4.10.1 Enhances family competence on
health promotion, wellness, healthy
lifestyle, health care, health
resource access or use and safe
environment conducive to health
maintenance among its members.
2.4.10.2 Implements
strategies/interventions to ensure
healthy population/s in the school
and work settings.
2.4.10.3 Enhances the competencies of
specific population groups to
ensure wellness, healthy lifestyle/
adaptation, disease prevention,
management, rehabilitation and
vulnerability reduction or prevention
2.4.10.4 Implements participatory and
empowerment strategies for
community competence to identify
and collaborate effectively in
addressing needs and problems
related with health resource
availability, access or use,
environmental sanitation,
environment protection, safety and
security
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Develops the competence of the family to recognize opportunities for wellness, healthy lifestyle/ adaptation,  Safe Quality Care
health promotion, disease/problem management and environmental sanitation and protection by :  Ethico-moral
a) analyzing the factors affecting health, human response, the environment and its resources/realities Responsibility
b) determining the relationships among these factors  Legal Responsibility
c) specifying the health and related conditions/problems which need to be addressed.
 Health Education
2. Carries out strategies/interventions to help the family decide to take appropriate action on each health
condition/problem identified.  Communication
3. Implements competency-building intervention options to help the family provide appropriate care to the  Collaboration and
dependent, at-risk, vulnerable, sick and/or disabled member/s, Teamwork
4. Develops the competence of the family to provide a home environment conducive to health maintenance and  Record
personal development. Management
5. Carries out participatory and empowerment strategies to enhance the family’s competence to use community  Management of
resources for health care and health maintenance. resources and
1. Carries out empowerment strategies to enhance competence for health promotion, healthy lifestyle/ environment
adaptation, wellness, disease and accident prevention/management among population groups in the
school and work setting.
2. Performs counterparting strategies to help population groups in the school and work setting carry out
activities or measures in support of environment protection and maintain a safe environment.
1. Develops the competence of specific population groups/support systems to analyze the relationship of
factors or patterns, home and community realities affecting health, human response and the environment.
2. Implements effective strategies to develop/enhance the competence of specific population groups/support
system/s for decision making on appropriate action/s for healthy lifestyle/adaptation, disease prevention,
management and rehabilitation.
3. Carries out empowerment strategies to develop the competencies of specific population groups and
support systems for health care, healthy lifestyle/ adaptation, use of health service and health resource
access or use.
1. Develops the competence of community work groups to :
a) analyze population and environmental factors/community patterns/realities which generate need to
address specific health conditions/situations/patterns
b) articulate commitment and opportunities for community improvement on health resource availability
access/use, environmental sanitation and protection, and safety/security
c) handle/address issues and conflicts as creative options for collaboration and shared responsibility for
decision-making by generating new ways of analyzing situations/problems for multiple
possibilities/effective solutions.
2. Carries out participatory and empowerment opportunities to increase community’s competence for interaction,
decision-making, effective implementation of actions and management of community’s relationship wit the larger
society for environmental sanitation and environment protection, safety, security and for creating or using
appropriate and/or supplementary resources specially for the marginalized or the vulnerable risk groups.
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 COMPETENCY
2.4.10. Implements interventions guided by
prescribed context of specific health
programs/services.
2.4.11. Implements appropriate care to
individuals, families, vulnerable
groups and communities during the
three phases of disaster situations,
such as: 1) Pre-incident phase, 2)
Incident phase, and 3) Post incident
phase.
2.4.12. Implements appropriate nursing
interventions to help clients and
support system address spiritual
needs.
2.4.13. Manages client load to ensure health
program /service coverage.
2.5. Provides health education using selected
planning models to targeted clientele
(individuals, family, population group or
community).
2.5.1. Determines the health education
planning models appropriate to
target clientele/expected objectives
and outcomes.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Specifies the bases for choice of interventions carried out within existing policies and procedures, or  Safe Quality Care
protocols of specific health programs and services.  Ethico-moral
2. Performs the appropriate interventions. Responsibility
3.2.1. Participates in the prevention and mitigation of adverse effects of a disaster.  Legal Responsibility
3.2.2. Performs preparedness activities as a member of the multi-disciplinary team.  Health Education
3.2.3. Executes appropriate nursing interventions in collaboration with the disaster response team.  Communication
3.2.4. Provides care and support to those injured, with chronic disease, maladaptive patterns of behavior  Collaboration and
and disabilities during recovery/ reconstruction/ rehabilitation period Teamwork
 Record
Management
1. Utilizes appropriate technique of communication when identifying needs of client for spiritual care.  Management of
2. Provides the client with appropriate environment and materials for praying. resources and
3. Offers opportunities for performance of religious activities based on client’s religion. environment
4. Refer to an appropriate religious agency for further spiritual support.
1. Conducts case detection, tracking, tracing and monitoring surveillance.
2. Conducts health programs and services in the home, clinic, school and work settings.
3. Carries out strategies to ensure health program/service coverage based on health program
objectives/targets, through health resource availability, access and/or use, specially among
marginalized/vulnerable risk groups.
4. Determines adequacy of health program /service coverage based on updated caseload registries by type of
client, health program or health problem (e.g. Client Lists for Prenatal/Postpartum Care, Client List for At-
Risk Children, Family Registry of Priority Cases)
5. Carries out interventions for effective and efficient care of clients in the caseload based on assigned
geographical coverage.
6. Adheres to institutional safety policies and protocols to prevent injuries/accidents and infection.
7. Refers client for appropriate management and assistance for health and medical-related benefits.
8. Reports notifiable/reportable diseases based on protocol.
1. Specifies the characteristics of each health education planning model.
2. Selects appropriate health education planning model.
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 COMPETENCY
2.5.2. Utilizes health education
process to accomplish the
plan to meet identified
client’s learning needs.
2.6. Evaluates with the client the health
status/competence and /or
process/expected outcomes
of nurse-client working
relationship.
2.7. Documents client’s responses
/nursing care services rendered
and processes/outcomes of the
nurse client working relationship
RESPONSIBILITY 3 – MAINTAINS COMPLETE, ACCURATE AND UP-TO-DATE RECORDING AND REPORTING SYSTEM.
COMPETENCY
3.1. Ensures completeness, integrity, safety,
accessibility and security of information.
3.2. Adheres to protocol and principles of
confidentiality in safekeeping and
releasing of records and other
information.
3.3. Implements system of informatics to
support the delivery of health care.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Assesses the needs of the target population.  Safe Quality Care
2. Prioritizes the learning needs/problems in partnership with client partner.  Ethico-moral
3. Formulates appropriate goals and objectives. Responsibility
4. Designs a comprehensive health education plan.  Legal Responsibility
5. Implements the health education plan utilizing appropriate teaching strategies.  Health Education
6. Evaluates the results of client’s learning experiences using the evaluation parameters identified in the health  Communication
education plan.  Collaboration and
1. Utilizes participatory approach in evaluating outcomes of care.
Teamwork
2. Specifies nature and magnitude of change in terms of client’s health status/competence/processes and outcomes
of nurse-client working relationship.  Record
3. Monitors consistently client’s progress and response to nursing and health interventions based on standard Management
protocols using appropriate methods and tools, (e.g. critical pathway, nurse sensitive indicators, quality indicators,  Management of
client competency indicators, hospital and community scorecard) in collaboration and consultation with the client. resources and
4. Revises nursing care plan based on outcomes and standards considering optimization of available resources. environment
1. Accomplishes appropriate documentation forms using standard protocols.
2. Adopts appropriate methods and tools to ensure accuracy, confidentiality, completeness and timeliness of
documentation.
3. Utilizes acceptable and appropriate terminology according to standards.
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Conforms to documentation standards.  Record
2. Documents data on client care clearly, concisely, accurately, and in a timely manner. Management
3. Utilizes systems, processes, methods and tools to maintain integrity, safety, accessibility and security of  Communication
information.
1. Maintains confidentiality in the safekeeping of records and other information.
2. Releases records and information based on protocol and principle of confidentiality.
1. Demonstrates competence in the use of informatics.
2. Utilizes appropriate, up to date, and available system of informatics.
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RESPONSIBILITY 4 – ESTABLISHES COLLABORATIVE RELATIONSHIP WITH COLLEAGUES AND OTHER MEMBERS OF THE TEAM TO ENHANCE NURSING
AND OTHER HEALTH CARE SERVICES.

COMPETENCY PERFORMANCE INDICATORS KEY AREAS OF

4.1. Ensures intra-agency, inter-agency,
multidisciplinary and sectoral
collaboration in the delivery of health
care.
4.2. Implements strategies/approaches to
enhance/support the capability of the
client and care providers to
participate in decision making by the
inter-professional team.
RESPONSIBILITY
1. Maintains good interpersonal relationship intra-agency and interagency.  Record
2. Respects the role of the other members of the health team. Management
3. Acts as liaison/advocate of the client during decision making by the inter-professional team.  Communication
 Collaboration
1. Explores views of clients prior to decision making.
2. Uses strategies/approaches to enhance/support the capability of the client to participate in decision
making.
3. Supports the views of clients/families and /or care providers.

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RESPONSIBILITY 5 – PROMOTES PROFESSIONAL AND PERSONAL GROWTH AND DEVELOPMENT.
COMPETENCY
5.1. Assumes responsibility for lifelong
learning, own personal development
and maintenance of competence.
5.2. Demonstrates continued competence
and professional growth.
5.3. Engages in advocacy activities to
influence health and social care service
policies and access to services.
5.4 Models professional behavior.
Revised by CMA
07/28/2012
PERFORMANCE INDICATORS KEY AREAS OF
RESPONSIBILITY
1. Identifies learning needs/issues based on current and projected/future practice requisites.  Personal and
2. Specifies lifelong learning plan/activities to address learning needs/issues based on current and projected Professional
practice requisites. Growth
3. Obtains feedback from peers and other sources to augment one’s assessment as basis of a learning plan.  Communication
4. Validates new knowledge that support and improve one’s nursing practice competency.
5. Updates one’s learning plan to maintain competence as a registered nurse.
1. Develops a career plan.
2. Undergoes training voluntarily for personal and professional growth.
3. Participates actively in professional activities.
4. Complies with regulatory requirements for competence (e.g. CPE).
In collaboration with a senior nurse:
1. Identifies barriers to the well being of clients.
2. Helps clients gain access to needed resources.
3. Negotiates relevant services on behalf of clients.
4. Identifies potential allies for confronting barriers to care.
5. Develops alliances with groups working for change.
6. Interprets data to show the urgency of change.
7. Analyzes the sources of political power and social influence within systems.
8. Utilizes conflict-resolution strategies to address resistance.
1. Articulates the values and roles of nursing to the public.
2. Demonstrates consistently professional behavior in words, actions and in relating with clients, colleagues, and
the general public
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